Charity Elizabeth Cooke

Individual provider Active NPI Physical Therapy Assistant · Monteagle, TN

NPI 1215519582 · NPPES record last updated Apr 26, 2021

Key facts

NPI
1215519582
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
7533 (TN)
Practice address
26 2ND St
Monteagle, TN 37356-7415
Phone
(931) 924-2041
NPI assigned
Apr 26, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 7533 TN Yes

Addresses

Primary practice location

26 2ND St
Monteagle, TN 37356-7415

Mailing address

211 Parkway Cir
Chattanooga, TN 37411-4533
Phone (423) 667-5197

Other providers in Monteagle, TN

All providers in Monteagle, TN · Physical Therapy Assistant in Tennessee

Sources for this page

Verify at the official NPI Registry.